Provider Demographics
NPI:1033323613
Name:SILLAY, LAILA RAAD (MD)
Entity Type:Individual
Prefix:
First Name:LAILA
Middle Name:RAAD
Last Name:SILLAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAILA
Other - Middle Name:
Other - Last Name:SILLAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:9555 SW BARNES RD STE 360
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-6617
Mailing Address - Country:US
Mailing Address - Phone:503-445-0590
Mailing Address - Fax:
Practice Address - Street 1:9555 SW BARNES RD STE 360
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-6617
Practice Address - Country:US
Practice Address - Phone:503-445-0590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD26777207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology